II. Epidemiology

  1. Specific type of Sialadenitis to newborns

III. Pathophysiology

  1. Staphylococcus aureus (most common)
  2. Escherichia coli
  3. Pseudomonas aeruginosa
  4. Branhamella catarrhalis

IV. Risk Factors

  1. Oral anatomic abnormalities
  2. Dehydration
  3. Prematurity

V. Signs

  1. Warm, tender single Salivary Gland (usually parotid)

VI. Labs

  1. Gram Stain and culture of Salivary duct secretions
    1. Parotid duct (Stensen's Duct) at upper second molar

VII. Management

  1. Increase hydration
  2. Oral antibiotics

VIII. Course

  1. Resolution usually within 1 week

IX. References

  1. Walner in Cummings (1998) Otolaryngology, p. 5-121

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